go back

Missouri rates for HCPCS L5618

Addition to lower extremity, test socket, Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.10 / $241.26 / $248.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.10 / $199.64 / $339.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.00 / $374.85 / $1,647.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.55 / $214.69 / $288.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.68 / $271.68 / $271.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.33 / $198.33 / $289.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.10 / $287.70 / $1,747.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $192.95 / $358.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $178.10 / $259.50